Hostname: page-component-7c8c6479df-fqc5m Total loading time: 0 Render date: 2024-03-29T12:52:09.487Z Has data issue: false hasContentIssue false

47 Pregnancy, birth, postpartum and their influence on bipolar affective disorder

Published online by Cambridge University Press:  24 June 2014

Eva Schmidt
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Karen Hecht
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Bernd Reininghaus
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Daniela Otti
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Karin Reisinger
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Herbert Juch
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Herranhof
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Hans-Peter Kapfhammer
Affiliation:
Universitätsklinik für Psychiatrie, Graz, Auenbruggerplatz 31, 8036 Graz, Austria, E-mail: eva.schmidt@klinikum-graz.at
Rights & Permissions [Opens in a new window]

Abstract

Type
Posters – Psychiatry
Copyright
Copyright © 2009 John Wiley & Sons A/S

Introduction/Objectives:

There is a well-established risk of acute episodes of postpartum disturbances especially in women diagnosed with mental disorder prior to childbirth (Davidson & Robertson, 1985). Consequences for mother and child can be fatal (Jones & Craddock, 2001). Nevertheless there is just few and contradictory data about pregnancy and postpartum and the influence on the further course of illness in patients with bipolar disorder.

Participants, Materials/Methods:

Women in Styria diagnosed with bipolar affective disorder are retrospectively interviewed about pregnancy, birth and postpartum, course of illness and general medical history by a personal interview as well as standardised questionnaires. Data is compared with two kinds of controls: (i) female bipolar patients without children, (ii) healthy controls, mothers without severe diseases. The following material is used:

1) Semistructured interview

2) STAI (Laux et al.)

3) LEBI (Richter & Guthke, 1994)

4) F-SozU (Frydrich et al., 2007)

5) NEO-FFI (Costa & McCrae)

6) LAST (Rumpf et al., 1997)

7) PKS (Schneewind & Kruse, 2002)

Results:

Main hypotheses are increased incidence of postpartum depression of patients with bipolar disorder in comparison to “healthy” mothers and influence of childbirth on life-course of illness. Risk factors, influence of heritability and birth complications are evaluated. Additionally the following aspects will be examined:

1) state and trait anxiety

2) psychosocial risk factors and life events

3) personality and neuroticism

4) alcohol and drug abuse

5) coping strategies

6) social support and partnership

7) teratologic knowledge and compliance

Conclusions:

Findings of our study can be useful in detecting predictors of postpartum problems in bipolar disorder and in helping concerned women and their families in better managing pregnancy and childbirth.